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Organization
THI OF NEVADA II AT DESERT LANE, LLC
Active
Organization
THI OF NEVADA II AT DESERT LANE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRIN COOK (PRESIDENT)
(702) 565-8555
Entity
Organization
Contact information
Practice address
640 S MARTIN L KING BLVD, LAS VEGAS, NV 89106-4413
(702) 382-3155
(702) 384-5659
Mailing address
920 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5602006
—
NV
Enumeration date
10/11/2006
Last updated
07/25/2019
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